Skilled Care of Mexia

In the surveyor’s words

From the most serious findings on record at Skilled Care of Mexia, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Sep 1, 2021

  Based on observation, interview, and record review, the facility failed to ensure three (Resident (R) 12, R13 and R17) of 17 residents who were potentially exposed to COVID-19 by their roommates who tested positive for COVID-19 (R9, R11, and R16) were placed in quarantine isolation to monitor for symptoms. Additionally, facility staff failed to use full Personal Protective Equipment (PPE) including gowns, gloves, and eye protection when providing direct care to residents during a COVID-19 outbreak as recommended by the Centers for Disease Control (CDC). […]

• Immediate jeopardy, patternF656Dec 31, 2024

  Based on interviews and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and times to meet a resident's need for 1 of 5 residents (Resident #1) reviewed for comprehensive care plans. 1. The facility failed monitor Resident #1's monthly weights. 2. The facility failed to develop, and implement, a person-centered intervention for Resident #1's severe weight loss that began on [DATE]. The noncompliance was identified as PNC IJ. The IJ began on [DATE] and ended on [DATE]. The facility had implemented actions that corrected the deficient practice prior to the beginning of the investigation. This failure could place residents at the facility at risk of malnutrition. […]

• Immediate jeopardy, patternF692Dec 31, 2024

  Based on interviews and record review, the facility failed to unsure residents maintained acceptable parameters of nutritional status, such as usual body weight, for 1 of 5 residents (Resident #1) reviewed for nutritional status. The facility failed to identify Resident #1's severe weight loss at a 30-day, 90-day, and 180-day increment on [DATE], [DATE], [DATE], and [DATE]. The noncompliance was identified as PNC IJ. The IJ began on [DATE] and ended on [DATE]. The facility had implemented actions that corrected the deficient practice prior to the beginning of the investigation. This failure could place residents at the facility at risk of malnutrition. Findings included: RR of Resident #1's AR, dated [DATE], reflected a [AGE] year-old female who admitted to the facility on [DATE]. […]

• Immediate jeopardy, isolatedF689Oct 17, 2025

  Based on observation, interview, and record review, the facility failed to ensure adequate supervision to prevent accidents for one of one (Resident #1) reviewed for accidents and supervision.The facility failed to prevent the elopement of Resident #1 on 10/5/2025.The noncompliance was identified as past noncompliance. The immediate jeopardy began on 10/16/2025 at 5:22 p.m. and ended on 10/17/2025 at 5:58 p.m. The facility had corrected noncompliance before the investigation began.This failure could place residents at risk for accidents and harm.Findings included: Record review of Resident #1's face sheet reflected, Resident #1 is a [AGE] year-old man admitted to the facility on [DATE]. […]

• Actual harm, isolatedF697Jun 25, 2022

  Based on interview and record review, the facility failed to ensure that pain management was provided to a resident who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan and the resident's goals and preferences for 1 (Resident #1) of 6 residents reviewed for pain management. The facility failed to ensure a triplicate prescription was completed timely to avoid a lapse in pain medication availability for Resident #1. This facility failure could place residents on pain management at risk for unnecessary pain, discomfort, and decreased quality of life. […]